多学科团队新媒体应用在糖尿病患者髋关节置换术后延续护理中的探索

Exploration on the Application of New Media of Multidisciplinary Team in Continued Nursing of Diabetic Patients after Total Hip Arthroplasty

目的:探讨多学科团队在糖尿病患者髋关节置换术后延续护理中的应用效果。方法:选取2013年1月至2014年6月在黄石市中心医院行髋关节置换的76例糖尿病患者为对照组,出院1周后进行电话随访。选取2014年7月至2015年12月行髋关节置换的76例糖尿病患者为观察组,出院后采用多学科团队进行微信健康宣教,比较两组出院后第1个月、第3个月、第6个月的Barthel评分、并发症和术后6个月再次发生骨折的情况。结果:观察组术后3个月及术后1年髋关节功能Harris评分均高于对照组,出院后6个月无并发症和再次骨折发生少于对照组,差异有统计学意义(P<0.05)。结论:多学科微信教育应用于髋关节置换的糖尿病患者延续护理,能促进患者髋关节功能的恢复,减少并发症和再次骨折发生率。

Objective:To explore the effect of application of multidisciplinary team in continued nursing of diabetic patients after total hip arthroplasty.Methods:76 diabetic patients receiving hip arthroplasty in our hospital from January 2013 to June 2014 in our hospital are selected as the control group and followed up by telephone one week after discharge.Diabetic patients receiving total hip arthroplasty in our hospital from July 2014 to December 2015 in our hospital are selected as the observation group.After discharge,a multidisciplinary team is employed for WeChat health promotion and education.Barthel scores and complications in the first,third and sixth month after discharge and recurrence of fracture 6 months after surgery are compared between the two groups.Results:The Harris score of hip joint function of the observation group is higher than that of the control group 3 months and 1 year after surgery.It has no complication 6 months after discharge,and the recurrence rate of fracture is lower than that of the control group.The difference is statistically significant(P<0.05).Conclusion:The application of multidisciplinary WeChat education in continued nursing of diabetic patients receiving total hip arthroplasty can promote the recovery of hip function of patients and reduce the incidence of complications and re-fracture.